Provider Demographics
NPI:1598340762
Name:GENGELBACH, ANGELA LAUREN (APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LAUREN
Last Name:GENGELBACH
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Gender:F
Credentials:APRN, NP-C
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Mailing Address - Street 1:2980 NW PLOTSKY AVE
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64477-9511
Mailing Address - Country:US
Mailing Address - Phone:816-813-3285
Mailing Address - Fax:913-274-3578
Practice Address - Street 1:4000 CAMBRIDGE ST # MS 2026
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8501
Practice Address - Country:US
Practice Address - Phone:913-588-6009
Practice Address - Fax:913-274-3578
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
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Provider Licenses
StateLicense IDTaxonomies
KS53-79901-041363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner